Staff Software Engineer, RCM

This will be a hybrid role with the requirement for this person to travel into our office once every 2 weeks.

Position Summary: We need a Staff Software Engineer to build AI services for our Revenue Cycle Management (RCM) systems. You will build autonomous agents to process Explanation of Benefits (EOBs) navigate payer rules and automate billing workflows. Your work directly impacts how smoothly patients access our genetic testing by removing friction from the billing process.

Primary Responsibilities

• Design and deploy FastAPI services that wrap LLM calls maintain stateful agent loops and expose REST/GraphQL endpoints.
• Build intelligent agents to handle unstructured medical documents using vision-augmented NLP and multimodal LLMs.
• Develop agentic RAG pipelines to surface billing codes and payer-specific rules.
• Containerize and operate the stack on AWS ECS/Fargate.
• Own the infrastructure as code pipelines for daily deployments.
• Instrument services with OpenTelemetry Grafana and Sentry to track denial rates and turnaround times.
• Extend our React UI to let human operators launch agents and inspect evaluation traces.
• Ensure all features meet HIPAA SOC 2 and internal security benchmarks.

Qualifications

• Advanced Python development experience with a focus on FastAPI for asynchronous services.
• Experience with LLM orchestration (LangGraph CrewAI) and building agentic workflows.
• Proficiency using AI-augmented development tools (Claude Code Gemini Cursor).
• Experience with AWS infrastructure (ECS/Fargate Lambda S3) and CI/CD pipelines.
• Experience in medical billing RCM or healthcare technology.
• Ability to process unstructured healthcare data and work with multimodal AI.
• Clear communication skills to align requirements across compliance finance and engineering.
• A production-first mindset. You operate and monitor the code you write.
• Ability to build inside regulated healthcare frameworks. We treat quality and compliance as features.

Nice to Have

• Experience integrating external applications with a LabVantage LIMS.
• Experience configuring and upgrading LabVantage LIMS to support order-to-result workflows.
• Front-end web programming experience with modern JavaScript frameworks (React Angular).
• Knowledge of Typescript and relational databases (Oracle).

OUR OPPORTUNITY

Natera is a global leader in cell-free DNA (cfDNA) testing dedicated to oncology womens health and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer healthier lives.

The Natera team consists of highly dedicated statisticians geneticists doctors laboratory scientists business professionals software engineers and many other professionals from world-class institutions who care deeply for our work and each other. When you join Natera youll work hard and grow quickly. Working alongside the elite of the industry youll be stretched and challenged and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

Competitive Benefits - Employee benefits include comprehensive medical dental vision life and disability plans for eligible employees and their dependents. Additionally Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave 401k benefits commuter benefits and much more. We also offer a generous employee referral program!

For more information visit .

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment and welcome people of different backgrounds experiences abilities and perspectives. Inclusive collaboration benefits our employees our community and our patients and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply and will be considered without regard to race color religion gender gender identity or expression sexual orientation national origin genetics age veteran status disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories consistent with applicable laws.

If you are based in California we encourage you to read this important information for California residents.

Link: be advised that Natera will reach out to candidates with a @ domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page